Timing of Specific Exercise Therapy After Breast Cancer Surgery: Early Versus Delayed Initiation

Exclusion Criteria

• •Diagnosis of recurrent or metastatic breast cancer.
• •Concurrent participation in another rehabilitation intervention or clinical trial.
• •Severe comorbidities (e.g., uncontrolled cardiovascular disease, severe orthopedic conditions) that preclude safe participation.
• •History of previous shoulder surgery or chronic upper extremity musculoskeletal disorders unrelated to breast cancer treatment.
• •Inability to understand or complete study materials in English.
• •Pregnancy or lactation.